HomeMy WebLinkAbout32797-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~qTMENT
Office of the Buildin9 Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33558 I~te: 02/20/09
THIS CERTIFIES that the building ADDITION
Location of Property: 400 LEGION AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax [~ap No. 473889 Section 142 Block 2 Lot 8
subdivision Filed [4ap No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 8, 2007 pursuant to which
Building Permit No. 32797-Z dated MARCH 13, 2007
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is COVERED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to JOSEPH C & BARABAR J I2kZZARO
(OWNER)
of the aforesaid building.
S~IFFOLK C~)[~%~I"/ DEP~IT~T OF }~,%LTH APt~Io%r~J~
RI.R¢~I'~IC~%5 [~lt'rIFIf2%TH NO.
PLIERS u~TIFICATION DA'r~u
N/A
N/A
N/A
Authorized Signature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
2ATION FOR CERTIFICATE OF OCCUPANCY
~-application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S.9 form).
3. Approval of electrical installatien from Board o f Fire Undervaiters.
4. Sworn statement from plumber certifying that the solder used in system contains less thaa 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of propertY showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant./f a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate o£Occupancy on Pre-existing Building ~ $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residemial $15.00, Commereial $15.00
New Construction: Old or Pre-existing Building: (check one)
Flo~se No. - - ~ Street - Hamlet
OwnerorOwnersofProperty: .._~.g'~}.o/9/ d~ /l4 "~)~ £ ~30, ra..~ Ai] Z ? /],CO
Suffolk County Tax Map No 1000, Section / ~Z ~.~ Block ~ Lot ~
Subdivision
Filed Map. ,.-~ Lot:
Date of Permit ( Applicant: ?_~./2 ~)4'faL· .
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~4~
/~nal Certificate:
(check one)
Applicant Signature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 32797 Z Date MARCH 13, 2007
Permission is hereby granted to:
JOSEPH C LAZZARO
PO BOX 1262
MATTITUCK,NY 11952
for :
CONSTRUCTION OF A COVERED PORCH ADDITION AS APPLIED FOR.
THIS PERMIT REPLACES BP # 29200
at premises located at 400 LEGION AVE MATTITUCK
County Tax Map No. 473889 Section 142 Block 0002 Lot No. 008
pursuant to application dated MARCH 8, 2007 and approved by the
Building Inspector to expire on SEPTEMBER 13, 2008.
Fee $ 150.00 // %
~~d Signat'ure
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 29200 Z Date MARCH 11, 2003
Permission is hereby granted to:
JOSEPH C LAZZARO
PO BOX 1262
MATTITUCK, NY 11952
for :
CONSTRUCTION OF A COVERED PORCH ADDITION AS APPLIED FOR. THIS
PERMIT REPLACES BP#26737.
at premises located at
400 LEGION AVE
MATTITUCK
County Tax Map No. 473889 Section 142
Block 0002 Lot No. 008
pursuant to application dated MARCH
11, 2003 and approved by the
Building
Fee $
Inspector to expire on SEPTEMBER 11,
150.00
2004 .
Authorized Signature
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 26737 Z Date AUGUST 24~ 2000
Permission is hereby granted to:
JOSEPH C LAZZARO
PO BOX 1262
MATTITUCK~NY 11952
for :
CONSTRUCTION OF A COVERED PORCH ADDITION AS APPLIED FOR.
at premises located at 400
County ?ax Map No. 473889 Section 142
pursuant to application dated JUNE
Building Inspector.
LEGION AVE MATTITUCK
Block 0002 Lot No. 008
29~ 2000 and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
] FRAMING / STRAPPING
] FIREPLACE & CHIMNEY
[ ] INSULATION
~FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
INSPECTOR
NSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
~LDG. DEPT.
TOWN OF SOUTHOLD
FORld NO. I
TO~N OF SOUTHOLD
BUILDING DEPARTI~ENT
TO~IN HALL
SOUTflOLD, N.Y. ] 197[
TEL: 765- L802
Disapproved a/c ..................................
. .... ....
APPLICATION FOR BUILDING PERltlT
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CEECK .........................
SEPTIC FOP, lq ...................
TRUSTEES ......................
NOTII~.~ ~ .~ ~ .4 , ',~
..~...~.~2_~ ............
Im4.~. i.~.~/c ~ ..........
Date ................ ,20 ....
a. 'Fnis application must be c~mpletely filled in by ~iter or in ink and suhnitted to the Building Inspector wi
3 sets of plans, accurate plot plas co scale. Fee according to schedule.
b. Plot plan sho~ng location of lot and of buildings on premises, relationship to adjoining premises or peblic
streets or areas, and giving a &tailad description of layout of property m~st be dra~n on the dingran ~d~ich is part of
this applicat ion.
c. The ~ork covered by this application r~y not be ccmneseed before issuance of Building Permit.
d. Upon approval of this application, the Suilding Inspector will issue a Building Permit to the applicant. Such
pemit shall be kept on the praises available for inspection thronghont the ~rk.
e. No buildiag shall be occupied or used in ~3~ole or in part for any iXnTnse ~atever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATICI~ IS '1~¥ ~ to the Building Department for the issuance of a Building Permit pursuant to the
Building'Zone Ordinance of the Town of Sonthold, Suffolk County, ~ York, and other applicable La~s, Ordinances or
Rngulatloas, for the construction of Imildings, additions or alterations, or for removal or demolition, as herein
described. 3hhe applicant agrees to ~ly with all applicable l~s, ordinances, building code, housing code, and
rngulatiees, and co ~'t authorized inspectors on premises and in buildi~ng for/~eceasa~y/inspectio~s.
...... .,~....~ .......,~r...Z..:..: .........
k:2" ' ' Z' '~. -~. "/': '" -'Z..-
(l~ailing address of applicant)
State vt~ether applicant is o~er, lessee, agent, architect, engineer, general contractor, electrician, plmber or builder
(as on the tax roar latest deed)
If applicant i~,~rporation, signature of duly authorized officer.
(blame and title of corporate officer)
Deilders Lieease No ..........................
location of land c~ ~hi2 ;~'~'~;;'L done ...... 7 O0
... ........ ..........................
................................................................... Z..C. ......... ~ ...............................
House Ila~er Street
co~ty T=~ No. ~ s~tion ./..V.)..: ...... BI~ ....~ ........ ~ot ..~.. ..........
Subdivisim . . Filed lqap No. .. lot ...............
(t~e) . -
2. State existing use and occupancy of premises ~ intended use~aad occupmlCy of proposed construction:
....... .... ..... ........... ./ ....
3. ~at,re of ~ork (check ~ ~d~ apphcable). ~ l~ilding .......... fiddition .......... ~terati~ '~
~ir ............ ~1 ............. ~llti~ ............ Otlmr ~ ..................................
6. EsCi~mt~ ~st .. ~ ......... f~ ..............................................
(to ~ ~id ~ filing this a~li~ti~)
5. If ~lli~, mfl~r of &lli~ ~mits ............ t~r of ~lling ~its ~ e~ fl~r ................
If garage~ ~r of ~rs ......................................
6. If ~i~ss, ~rcial or ~ ~, ~i~ ~ture ~ stent of eadl~ of ~
?. Oi~nsims of ~sti~ st~s, if ~: ~mt..~ .... ~ar ...~..~,.~...~-- ~pth .................
t~i~t ......................... ~r of Stories ......................
Di~n8i~ of ~ st~e ~th alteratlms or ~itions: ~t ............... ~ar ...............
~pth .................... ~i~t .................... ~r of Stories ...............
8. Di,~nsi~ of entine ~ ~st~tim: ~t .~.~.~. ~ar~ .... ~p~ ...~'....
l~i~t ......................... ~r of Stories .....................
9. si~ o~ ,o~: ~ 70 ~ .................... ~th / 2 ~
,0. ~ o~ ~,,~ ...zq.q~. ......... ~ o~ ~o~. ~ .... ~ .X .....................
I 1. ~ or ~ district in ~i~ ~i~s a~ si~t~ ..............................................................
12. ~s ~o~ ~t~tim violate ~ ~i~ 1~, o~i~e or ~latim: .... ~ ..............
}3. ~ill lot ~ ~ .~ .............. ~ill ~ss fill ~ r~ ~ ~s: ~ ~
~ of ~dt~t ....~ ............................... ~ress .~ ........ c ................ ~. ~ ~ .............
15. Is fids p~r~ ~in ~ f~t of a till ~tl~! * ~ .......... ~ ..........
PLOT DIAGRAH
[~cate clearly and dlstlnctly all Imildings, ~etlmr existing or proposed, and indicate ali set-back dimensions
property lines. Give street and block nt~er or description according to deed, and ~ street nines and indicate
M~etber interior or corner lot.
: : L a. z z O.. .......
(Nane of individual signing contract)
above
I~e is the ....................
...............................................................
(~tractor, a~nt, co.rate officer, etc.)
of ~id ~r or ~rs, a~ is ~ly ~thori~ to ~rfom or h~ ~rfo~ ~ ~id ~ m~ to ~ a~ file this
a~llcation; that all stat~nts c~tai~ in
that the ~rk will ~ ~rfo~ ~n tim ~r ~C forth in ~e a~licati~ fil~ ~.
.... gg~ ......
~ta. ~li~. ~; ~ .~.. ~...~%.
~ffi~ ~ S~k ~. /
duly swum, deposes and .says tlmt he is the applicant
OWNER
FORMIER OWNER
IMP.
VL.
TOTAL
"' ' VILLAGE DISTRICT SUB.
STREET ;/
V / TYPE OF BUILDING
DATE REMARKS
NORMAL
Acre
Toro I
House Plot
Brushlond
Swampland
LOT
I'
Est. Mkt. Value
Tillable 3
Woodland
AGE BUILDING CONDITION
NEW BELOW ABOVE FRONTAGE ON W^TER
Farm Value Per Acre Value FRONTAGE ON ROAD
Tillable 1 BULKHEAD
Tillable 2 DOCK
Extension Basement
Extension ' Ext. Walls
Extension
Both
Breezeway
Garage_- __ I Cf x~t ')/ ~./" ~ ) 0 ~ J~ ~__~ ~/! Driveway _ ~Dorm_er
O.B. ~', ~,~,,~,
Fire Place /V" ~ Heat Th/.` 4 -.
Porch Roof Type /~,~-~2-~'
Porch ~.c 3ms 1st Floor
Patio Rooms 2nd Floor
OCCUPANCY I~
USE IS UNLAWFUL
WITHOUT CERTIFICATE
APPROYED AS NOTED
DA~B.R ~ ~"'~'"~'J~"~'
NOTIFY BUILDING DEP.~RTIVI, EflT AT
~65-1802 9 AM TO 4 PM ~R TNE
FO~OWINQ INSPEC~ONS:
~ FOUNDATION - TW~UIRED~
~R POURED CONCRE~ ~ 7
~ ROUGH · FRAMING & PLUMBING
~INSU~TION
& FINAL · CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
~E REQUIREMENTS OF THE N.Y.
~TATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
SURVEY FOR:
JOSEPH LAZZARO I~ BARBARA LAZZARO
At: MATTITUCK Town of: SOUTHOLD
Suffolk County, New York
Surf, Co. Tax Map:
8
CID~FIED TO:
JOSEPH LAZZARO
B A RBA~_J~AZZ A R 0
FL~=~[~J~F AN ~ITLE INSURANCE COMPANY
~ DA'rE : FEB. I 1993
~N _ -~- _ /.~// ~ NO. . ~ oos,